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SURESH I PATEL MD
NPI 1275583130
Pediatrics in Edison, NJ

Active since May 11, 2006PECOS EnrolledCLIA 31D2179761 · Waiver
34-36 PROGESS ST, TWIN PLAZA SUITE A-1, EDISON, NJ 08820(908) 561-5700(908) 561-5840 Get Directions Write a Review

NPPES record last updated: December 1, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Suresh I Patel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURESH I PATEL MD (NPI 1275583130) is an individual pediatrics provider in Edison, New Jersey, licensed in New Jersey (25MA05307100) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 1, 2028, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1275583130
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSURESH I PATELCredential: MD
Location Address34-36 PROGESS ST, TWIN PLAZA SUITE A-1Edison, NJ 08820
Mailing Address34-36 Progess St, Twin Plaza Suite A-1Edison, NJ 08820 · (908) 561-5700 · Fax (908) 561-5840
Phone(908) 561-5700
Fax(908) 561-5840
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateMay 11, 2006
Last NPPES UpdateDecember 1, 2011
✔ NPI 1275583130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA05307100
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
34-36 PROGESS ST, Edison, NJ 08820
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Other Identifiers 2

Medicare UPINF32676
Medicaid1800001NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suresh I Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365936234
PECOS Enrollment IDI20251209003321
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2179761

Suresh I Patel, MD PA · Edison, NJ
Active · expires Mar 1, 2028
CLIA Number31D2179761
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorSuresh I. Patel
Laboratory Phone(908) 561-5700
Laboratory LocationSuresh I Patel, MD PA34-36 Progress St A -1, Edison, NJ 08820
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suresh Patel's NPI number?

The NPI number for Suresh Patel is 1275583130. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Suresh Patel located?

Suresh Patel practices at 34-36 Progess St Twin Plaza Suite A-1, Edison, NJ 08820. The listed phone number is (908) 561-5700.

What is Suresh Patel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Suresh Patel enrolled in Medicare?

Yes. Suresh Patel is registered in the Medicare PECOS enrollment system.

Does Suresh Patel hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2179761) is associated with this NPI, valid through March 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Suresh Patel accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Suresh Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Suresh Patel was last updated on December 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.